DAVID L FAGELSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035276

License Status

INACTIVE

Business

First Name

DAVID L

Last Name

FAGELSON

Suffix

Business Name

DAVID L FAGELSON MD

Original Issue Date

08/14/1958

Effective Date

08/14/1958

Expiration Date

07/31/2002

City

BRATTLEBORO

State

Zip

05301

County

VERMONT

Ever Disciplined

LastModifiedDate

10/09/2006